| NPI | 1750696209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1878) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 4816) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2017-01-17 |