| NPI | 1700016193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13918) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 7418T) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2010-12-30 |