| NPI | 1245494491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA WA60222752) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13844) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2021-10-02 |