| NPI | 1043339252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 3523) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 11815) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2024-04-18 |