| NPI | 1649330978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AK 206) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12096T) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2017-01-12 |