| NPI | 1205994050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 11766TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 11766T) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2011-10-14 |