| NPI | 1083276844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL R-354-TA-D29) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC005641) |
| 152W00000X Optometrist (Licence: MI 4901005461) | |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2024-08-08 |