| NPI | 1588942411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15052 TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002661) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2016-12-12 |