| NPI | 1821146325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WX0102X Optometrist, Occupational Vision (Licence: LA 1006-256T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 1006-256T) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-05-29 |