| NPI | 1780026781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2333) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1763) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-09-16 |