| NPI | 1477865350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3377) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007573) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2014-08-26 |