| NPI | 1649526807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2673) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2752) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2020-07-28 |