| NPI | 1609834845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 2332) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 1886) |
| 152W00000X Optometrist (Licence: AL SA27TA592) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2022-09-05 |