| NPI | 1407891393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G50991) |
| Additional Taxonomies | 156FX1100X Technician/Technologist Ophthalmic |
| 156FX1800X Technician/Technologist Optician | |
| 174400000X Specialist (Licence: CA G50991) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2023-10-27 |