| NPI | 1306971429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OP7450) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 7450t) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-02-05 |