| NPI | 1295963320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2722) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO OPT 2722) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2015-08-31 |