| NPI | 1962018184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 36054) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 009251) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2025-07-17 |