| NPI | 1538681762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 002183) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 2183) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2023-05-13 |