| NPI | 1477894327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1809-743AT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1896) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2025-04-10 |