| NPI | 1427207497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT15049) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MN 3156) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2015-04-13 |