| NPI | 1982919973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 001770) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1770) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2025-01-31 |