| NPI | 1518933019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3255AT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD00004174) |
| 152W00000X Optometrist (Licence: NY TUV006791) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2022-02-01 |