| NPI | 1437136611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 4026) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 3148AT) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2022-02-14 |