| NPI | 1760415996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO OPT.0004011) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IA 02188) |
| 152W00000X Optometrist (Licence: IL 046009288) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2024-10-03 |