| NPI | 1447515549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2288) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002171) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2024-10-15 |