| NPI | 1477866531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14380) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 5953) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2022-05-31 |