| NPI | 1851679716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14144) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC5026) |
| 152W00000X Optometrist (Licence: NY TUV007709) | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2023-07-05 |