| NPI | 1225326945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1449) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: NE 1449) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2020-02-19 |