| NPI | 1740259969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 002265) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 2265) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-07-09 |