| NPI | 1699927426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1329) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IA 002469) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2021-09-09 |