| NPI | 1134773534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2719) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002807) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2023-04-13 |