| NPI | 1437240215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 757) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002313) |
| 152W00000X Optometrist (Licence: CA 13077) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-12-17 |