| NPI | 1649312323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 584) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG001133) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-12-19 |