| NPI | 1780971440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: WA OD60226342) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD60226342) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2024-05-20 |