| NPI | 1194618934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO OPT.0004111) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD 0004111) |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-07-31 |