| NPI | 1861801177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15444) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008153-1) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2015-11-18 |