| NPI | 1598197501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002245) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1761) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |