| NPI | 1144451741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AK 322) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13900T) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2017-03-21 |