| NPI | 1841368305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14373TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007005-1) |
| 152W00000X Optometrist (Licence: NJ 27OA00601900) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2019-09-19 |