| NPI | 1376739334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2622) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1745) |
| Enumeration Date | 2007-09-23 |
| Last Update Date | 2025-02-18 |