| NPI | 1871089714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2520) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2077) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-09-19 |