| NPI | 1073627170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN OD3156) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL SB46TA691) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2022-03-23 |