| NPI | 1124191556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13070T) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: CA 13070T) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2013-06-19 |