| NPI | 1396722922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA CA12796) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 3137T) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2007-07-08 |