NPI | 1528009792 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3131T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD60115145) |
152WC0802X Optometrist Corneal and Contact Management (Licence: WA OD60115145) | |
152WX0102X Optometrist Occupational Vision (Licence: WA OD60115145) | |
152WP0200X Optometrist Pediatrics (Licence: WA OD60115145) | |
152WS0006X Optometrist Sports Vision (Licence: WA OD60115145) | |
152WV0400X Optometrist Vision Therapy (Licence: WA OD60115145) | |
Enumeration Date | 2006-06-09 |
Last Update Date | 2012-10-23 |