| NPI | 1225229388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD61206736) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT 13330T) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2022-03-16 |