| NPI | 1033856281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-F01-TA-C72) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-F01) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-08-11 |