| NPI | 1033848502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2735) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2344) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2023-06-18 |