| NPI | 1407222185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-D46-TA-A23) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC5314) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2018-07-16 |