| NPI | 1952783482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15280) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 60644887) |
| Enumeration Date | 2015-06-20 |
| Last Update Date | 2022-05-25 |