| NPI | 1871781153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI OD674) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13180T) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2017-10-18 |