| NPI | 1124469275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003375) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 60376275) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2022-04-19 |