| NPI | 1770856411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14197 TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 60293849) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2018-11-14 |