| NPI | 1144401654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI 700) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13439) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2010-05-07 |