| NPI | 1962956326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-D69-TA-A45) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-D69) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2023-12-13 |