| NPI | 1851401061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE NE 1060) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SD 510) |
| 152W00000X Optometrist (Licence: MN 2437) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |