| NPI | 1174344451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DE I3-0011488) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 4751) |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2026-03-31 |