NPI | 1013922665 |
---|---|
Other Name | CARRIE S WAKAI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 8343T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: HI 232T) |
Enumeration Date | 2006-07-30 |
Last Update Date | 2014-04-03 |