| NPI | 1811063142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1351) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-680 TA-388) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2014-11-05 |