| NPI | 1720052392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12370T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: UT 5870563-9934) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2008-05-21 |