| NPI | 1659605848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID ODP-100199) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MT 809) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2024-02-05 |