| NPI | 1861833642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14984) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008005-1) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2018-09-11 |