| NPI | 1942309380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 02123) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 002123) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2016-07-21 |