| NPI | 1437457793 |
|---|---|
| Former Name | MEGAN JUSTINE LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 60629205) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14672) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2016-07-20 |