| NPI | 1285473702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC OPT.2488) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618003472) |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2025-03-25 |