| NPI | 1447560388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14492TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901004579) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2022-12-08 |