| NPI | 1427570639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2490) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1997) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2018-07-19 |