| NPI | 1811186059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN pending) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 1543) |
| 152W00000X Optometrist (Licence: IL 046010059) | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2018-09-06 |