| NPI | 1093156150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14752) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12328) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2021-11-18 |