| NPI | 1467840587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-D34-TA-A09) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: AL S-D34-TA-A09) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2015-07-24 |