| NPI | 1184810558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI 623) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: HI 623T) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2019-11-27 |