| NPI | 1811192289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT 13626) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: ID ODP 100-111) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2022-01-03 |