| NPI | 1851523963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14810) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00620600) |
| Enumeration Date | 2009-08-23 |
| Last Update Date | 2020-01-14 |