| NPI | 1457466674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12677) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 00003899) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2015-02-01 |