| NPI | 1841912623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD61480506) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 35196) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2024-03-28 |