| NPI | 1003433467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 1026) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-E60-TA-B79) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2024-01-22 |