| NPI | 1285801027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 1942) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 9460) |
| 152W00000X Optometrist (Licence: NC 1380) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |