| NPI | 1225711484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2373DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-F18-TA-D08) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2025-01-24 |