| NPI | 1992064596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD00004118) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 3435) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2020-10-14 |