NPI | 1194038026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60167259) |
Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: WA OD60167259) |
Enumeration Date | 2010-07-20 |
Last Update Date | 2017-08-07 |