| NPI | 1609444306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-E83) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: AL S-E83) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2024-04-29 |