| NPI | 1235149352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1755) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1153) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2023-10-17 |