| NPI | 1457597676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 2089) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 2398) |
| 152W00000X Optometrist (Licence: CA 13635) | |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2022-08-25 |