| NPI | 1235708934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2343DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618003039) |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2023-07-03 |