| NPI | 1831107515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2480) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2005020645) |
| 152W00000X Optometrist (Licence: AR 2603) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2009-11-19 |