| NPI | 1548572530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2010022297) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AR 2669) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2022-07-21 |