| NPI | 1669883559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60755848) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008361) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2022-07-21 |