| NPI | 1366439010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1313) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-973-TA-538) |
| 152W00000X Optometrist (Licence: GA OPT-001853) | |
| Enumeration Date | 2005-09-28 |
| Last Update Date | 2023-04-27 |