| NPI | 1922167444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NM OP2403) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 1562) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2018-02-20 |