| NPI | 1144848912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD61116371) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ OPT-002436) |
| 152W00000X Optometrist (Licence: WA 61116371) | |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2021-08-03 |