| NPI | 1457448797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3256T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: HI OD-472) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2008-08-13 |