| NPI | 1336335959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NM 661) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1668DT) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2015-03-24 |