| NPI | 1447224969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2589) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1493) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2014-03-11 |