| NPI | 1881728541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 4146TX) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 3237AT) |
| 152W00000X Optometrist (Licence: CA opt #13204T) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2022-02-04 |