| NPI | 1750056917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618003428) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-E90-TA-C28) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2024-10-14 |