| NPI | 1548449911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13431T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MN 3138) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2024-12-06 |