| NPI | 1043445539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 2785) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NE 1341) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2010-06-21 |