| NPI | 1285772020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002472) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007026) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2011-12-27 |