| NPI | 1871700252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12936) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12936T) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2022-05-18 |