| NPI | 1194976936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13620TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13620) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2015-06-22 |