| NPI | 1053627398 |
|---|---|
| Former Name | JESSICA KAO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60839586) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14060) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2018-04-11 |