| NPI | 1588978969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1873) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001994) |
| 152W00000X Optometrist (Licence: FL OPC 4590) | |
| 152W00000X Optometrist (Licence: NY TUV007668) | |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2011-03-10 |