| NPI | 1164535779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12908t) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AK 362T) |
| 152W00000X Optometrist (Licence: WA OD60331045) | |
| 152W00000X Optometrist (Licence: OH 5681) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2024-09-06 |