| NPI | 1104135284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WP0200X Optometrist Pediatrics (Licence: MT OPT-OPT-LIC-1923) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MT 1923) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2024-07-11 |