| NPI | 1699906826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13744) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: HI 702) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2011-03-31 |