| NPI | 1255419271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3328) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD00004019) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-11-04 |