| NPI | 1952406787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 002480) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 2426) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2022-10-20 |