| NPI | 1881905172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AK 140405) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VT 030.0100769) |
| 152W00000X Optometrist (Licence: AK 305) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2023-11-26 |