| NPI | 1942248323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 11591T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2231) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2016-10-05 |