| NPI | 1326093394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 11628T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: HI OD-579) |
| 152W00000X Optometrist (Licence: TN OD0000002403) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-08 |