| NPI | 1598868697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AK 253) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 5568) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2014-08-05 |