| NPI | 1780844886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901005105) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IA 002435) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2022-12-30 |