| NPI | 1184032864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60470000) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 15173) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2024-01-05 |