| NPI | 1235623281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-E10-TA-B46) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002666) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2020-02-04 |