| NPI | 1508953332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 12792) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12792) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2009-01-15 |