| NPI | 1477560993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 60123117) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL T-189-TA-723) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-07-21 |