| NPI | 1811376205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 10992) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 10992T) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2016-10-20 |