| NPI | 1346739075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2542) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2055) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2023-01-05 |