| NPI | 1447430921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3246 AT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 4884 TP) |
| 152W00000X Optometrist (Licence: NY 007236) | |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2013-12-06 |