| NPI | 1538477062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2836) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1766) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2019-06-12 |