| NPI | 1487978813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-C47-TA-857) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 2917) |
| 152W00000X Optometrist (Licence: MS 815) | |
| Enumeration Date | 2010-03-13 |
| Last Update Date | 2024-05-03 |