| NPI | 1710919147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1993) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 5357/T2265) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-12-05 |