| NPI | 1780778431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12242TPA) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA CA12242tpa) |
| 152W00000X Optometrist (Licence: FL OPC3733) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-11-02 |