| NPI | 1972097244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34195TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008758) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2019-07-30 |