| NPI | 1356814081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35926) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH OPT.006699) |
| 152W00000X Optometrist (Licence: TX 9598) | |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2025-03-24 |