| NPI | 1437248267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID OD485) |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician (Licence: AZ 601I) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-06-11 |