| NPI | 1275155947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2717) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 61069391) |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2022-09-09 |