| NPI | 1841967858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35271) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 61189958) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2022-09-22 |