| NPI | 1750543922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: CA 13483) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13483) |
| 152W00000X Optometrist (Licence: NY 007350) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2009-06-15 |