| NPI | 1275789455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SD 768) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AK 281) |
| 152W00000X Optometrist (Licence: CO 3013) | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2024-03-19 |