| NPI | 1689014235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI OD-828) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 60370215) |
| 152W00000X Optometrist (Licence: CA 15126) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2021-05-26 |