| NPI | 1932362316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4733) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT 13786 TLG) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2021-11-29 |