| NPI | 1134610678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2810) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ OPT-002249) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2021-09-23 |