| NPI | 1881647147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1393) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1000) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-11-21 |