| NPI | 1467892174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 60459336) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14651) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2019-11-27 |