| NPI | 1477906485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 60667876) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: WA 60667876) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |