| NPI | 1033473343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 3259-35) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IA 119134) |
| 152W00000X Optometrist (Licence: MN 3290) | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2023-05-02 |