| NPI | 1477556488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AK 297) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12333T) |
| 152W00000X Optometrist (Licence: OR 2964T) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2022-11-07 |