| NPI | 1598639783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD.OD.70057292) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 36128) |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2026-04-27 |