| NPI | 1356969877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2650) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC OPT.2200) |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2026-05-04 |