| NPI | 1225694334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2729) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2134) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2023-06-01 |