| NPI | 1326230194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI 669) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 2618) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2009-02-09 |