| NPI | 1043699382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33494) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 60559136) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2018-12-17 |