| NPI | 1972111995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL SE64TAC11) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 0000003632) |
| 152W00000X Optometrist (Licence: AL 1972111995) | |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2021-07-22 |