| NPI | 1174191720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-E82) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT003335) |
| 152W00000X Optometrist (Licence: AR 2823) | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-07-19 |