| NPI | 1144295171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA OPT13114) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV56006973) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2013-06-27 |