NPI | 1639790132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD61060200) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OR ATI4597) |
Enumeration Date | 2020-05-06 |
Last Update Date | 2023-06-07 |