| NPI | 1629033527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ND 583) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AK 133431) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2024-03-26 |