| NPI | 1538712435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL T-248-TA-C08) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 5364) |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2021-01-25 |