| NPI | 1457758187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60512443) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA OD60512443) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2015-05-13 |