| NPI | 1982854717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1744DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13648) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2018-08-22 |