| NPI | 1619242351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 11718T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 11718) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2024-05-07 |