| NPI | 1699115477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 5334) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-D11-TA-955) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2024-03-22 |