| NPI | 1194278382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 4049AT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 60677583) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-08-23 |