| NPI | 1174835391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1323) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 2728) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2014-05-16 |