| NPI | 1871509034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT 12574T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD 3919) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |