| NPI | 1871828954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2740) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NV 702) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2012-11-30 |