| NPI | 1790709418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12501T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007523) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2015-05-25 |