| NPI | 1932511482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 2327) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MS 935) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2022-09-12 |