| NPI | 1730343880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3482AT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD 60026983) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2015-09-21 |