| NPI | 1265609606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 6331) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: CA 6331) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |