| NPI | 1346930435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DE I3-0011470) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 61408133) |
| 152W00000X Optometrist (Licence: PA OEG003996) | |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2024-04-02 |