| NPI | 1992936298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2741) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1971) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2015-06-05 |