| NPI | 1447306360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 2826ATI) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: OR 2628ATI) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2018-08-14 |