| NPI | 1689803926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1906) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NV 909) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2019-06-28 |