| NPI | 1457443806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2794) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 7915T) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2015-09-17 |