| NPI | 1649652009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT33795) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: UT 9442973-8908) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2018-03-17 |