| NPI | 1295140994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2392) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NH 893) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2018-06-25 |