| NPI | 1457963910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34899) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD61092875) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2022-08-05 |