| NPI | 1417282591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 5065) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 2849) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2022-01-12 |