| NPI | 1932455086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15194) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002134) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2015-06-12 |