| NPI | 1891809729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT 13882 TPL) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046009853) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2010-11-05 |