| NPI | 1598815946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3293AT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NV 350) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2013-05-21 |