| NPI | 1497700074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD00004059) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 3116ATI) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-12-11 |