| NPI | 1912106907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1427) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001660) |
| 152W00000X Optometrist (Licence: IN 18003495A) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2015-07-16 |