| NPI | 1275647455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 11545 T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2296) |
| 152W00000X Optometrist (Licence: AZ 1426) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-09 |