| NPI | 1073017497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2997) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2018021082) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-10-01 |