| NPI | 1881979938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60573911) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 3551ATI) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2022-06-21 |