NPI | 1720092588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA 3891TX) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WA 00003891TX) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2013-01-09 |