| NPI | 1144428491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2558) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NV 573) |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2020-12-18 |