| NPI | 1134319122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WV 1084-OD) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2546) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2015-11-30 |