| NPI | 1982914420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR AT4649) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002428) |
| 152W00000X Optometrist (Licence: CA 15454) | |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2023-05-16 |