| NPI | 1386726420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VI 34) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DC OP 818) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2025-09-11 |