| NPI | 1982673927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 1948) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR AT-4403) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2019-02-26 |