| NPI | 1720038441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ND 642) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003360) |
| 152W00000X Optometrist (Licence: MN 3046) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2013-09-27 |