| NPI | 1578600425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-578-TA-147) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 1004) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2012-06-25 |