| NPI | 1336589175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2318) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002236) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2015-12-02 |