| NPI | 1760524268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR AT4601) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007047) |
| 152W00000X Optometrist (Licence: CA 13422) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2023-04-20 |