| NPI | 1932196227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1369) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12594T) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2015-07-17 |