| NPI | 1528553450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: WA OD60855608) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 60855608) |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2023-08-22 |