| NPI | 1245381375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 60266318) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 11958T) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2015-11-20 |