| NPI | 1073132395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2222DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 3082) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2022-12-20 |