| NPI | 1124183843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13013TPL) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13013T) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2012-10-26 |