| NPI | 1366762999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1971) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 3351ATI) |
| 152W00000X Optometrist (Licence: CO 2888) | |
| Enumeration Date | 2010-06-05 |
| Last Update Date | 2016-08-29 |