| NPI | 1225652019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO OPT0004070) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC005792) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2025-02-14 |