| NPI | 1497328736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 1055) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-E92-TA-C42) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2024-10-22 |