| NPI | 1437604931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1889-824AT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-D72) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2020-04-29 |