| NPI | 1255537262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4901) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13243) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2021-06-03 |