| NPI | 1962477398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AK 332) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD00003594) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2015-10-21 |