| NPI | 1386349470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2024016093) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 2335DT) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2026-03-12 |