| NPI | 1427059146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1412-554T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001392) |
| 152W00000X Optometrist (Licence: NC 1960) | |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2016-12-02 |