| NPI | 1710407622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3691) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NH 948) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2021-03-19 |