| NPI | 1700084456 |
|---|---|
| Former Name | CAROL SHIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60188672) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13281) |
| Enumeration Date | 2007-07-04 |
| Last Update Date | 2019-09-26 |