| NPI | 1154003903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL R-349-TA-D32) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 0003951) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2024-08-21 |