| NPI | 1346295573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PR 582) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL 3832) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-09-13 |