| NPI | 1437221124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 885) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 1101) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-12-10 |