| NPI | 1720081029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12599) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: CA OPT12599TPA) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2019-01-17 |