| NPI | 1295810349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT12145TPA) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL 3252) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2013-05-10 |