| NPI | 1316137052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 831) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13338) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2011-01-12 |