| NPI | 1992937718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2699) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001868) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2014-06-12 |