| NPI | 1669553871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT10490 TPL) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AK OPT258) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2019-07-05 |