| NPI | 1528476462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT33367-TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 60473706) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2016-06-28 |