| NPI | 1881700078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1589) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AR 2399) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2010-02-03 |