| NPI | 1225165335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2573) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12039T) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2010-09-02 |