| NPI | 1548314388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000570) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 1404-548T) |
| 152W00000X Optometrist (Licence: PA OE007871T) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2022-11-09 |