| NPI | 1669417150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-921-TA-499) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 01994) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2008-03-06 |