| NPI | 1851685093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2249) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-C64) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2017-11-15 |