| NPI | 1396993655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI 852) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT 13615) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2017-06-10 |