| NPI | 1356312045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S847TA353) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-847-TA-353) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2023-11-22 |