| NPI | 1356366546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12078T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001417) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-06-20 |