| NPI | 1497486534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL R-374-TA-E11) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2352) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2026-09-09 |