| NPI | 1093079915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60687018) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14445) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2021-12-08 |