| NPI | 1245565639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13866) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 5903) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |