| NPI | 1386121911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1531) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2991) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2021-05-03 |