NPI | 1861453425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60576434) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1157) |
Enumeration Date | 2006-03-31 |
Last Update Date | 2016-01-13 |