| NPI | 1477792398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1719) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13206T) |
| 152W00000X Optometrist (Licence: IN 18003150A) | |
| 152W00000X Optometrist (Licence: IL 046009426) | |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2022-03-21 |