| NPI | 1518093020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA WA3610) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 3427) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |