| NPI | 1235902032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PR 000768) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DC 6335) |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2024-12-10 |