| NPI | 1518159128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT12762TPA) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 60896496) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2019-01-04 |