| NPI | 1235701160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6384) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003801) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2025-10-24 |