| NPI | 1396373379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 61062249) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD.OD.61062249) |
| 152W00000X Optometrist (Licence: OH OPT.007115) | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2023-03-01 |