| NPI | 1437169810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1661DT) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: KY 1661DT) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2018-08-21 |