| NPI | 1346928751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SD 823) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IA 130794) |
| 152W00000X Optometrist (Licence: GA OPT003533) | |
| 152W00000X Optometrist (Licence: MN 3966) | |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2025-03-03 |