| NPI | 1316357569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-D45-TA-975) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA 00000) |
| 152W00000X Optometrist (Licence: MN 3450) | |
| 152W00000X Optometrist (Licence: AL T-214-TA-975) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2023-02-01 |