| NPI | 1639140130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1754) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1133) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2020-10-26 |