| NPI | 1104470350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL R-299) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL 5723) |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2022-01-25 |