| NPI | 1649582206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2705) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NV 681) |
| Enumeration Date | 2010-07-11 |
| Last Update Date | 2018-03-12 |