| NPI | 1073141503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1510) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KS 2264) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2026-02-02 |