| NPI | 1942432976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2948) |
| Additional Taxonomies | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: CO 2948) |
| Enumeration Date | 2009-08-09 |
| Last Update Date | 2013-06-05 |