| NPI | 1568772051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 1206) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 002820) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2024-08-01 |