| NPI | 1124400106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 4048) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC5062) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2025-09-30 |