| NPI | 1548456650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT12854TPA) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA OPT12854TPA) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |