| NPI | 1093750424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2106) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: CO OPT.0002106) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2017-10-25 |