| NPI | 1356969224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6184) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004231A) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2026-04-03 |