| NPI | 1710325725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2783) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AR 2696) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2016-09-20 |