| NPI | 1881740769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID 868) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD00003018) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2024-08-23 |