| NPI | 1770545022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO t02815) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: MO T02815) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2014-10-02 |