| NPI | 1881882223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14387T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.010036) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2018-03-17 |