| NPI | 1447578877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2223) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-C31-TA-853) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2014-05-01 |