| NPI | 1336580943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AK OPTT340) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14625) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2018-12-06 |