| NPI | 1720137581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: WA OD00003607) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD00003607) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2021-04-15 |