| NPI | 1356070254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 3237) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 2269DT) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2024-04-03 |