| NPI | 1316734536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 2546) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC6710) |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-06-23 |