| NPI | 1770327116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-F45-TA-D42) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL 6569) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-10-15 |