| NPI | 1144418583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 2260) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 3240T) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2025-07-23 |