| NPI | 1952854465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL R-355-TA-D35) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2894) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2024-08-20 |