| NPI | 1487613550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 931) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NE 931) |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2007-09-21 |