| NPI | 1033449855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 60452019) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 5921) |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2018-03-17 |