| NPI | 1396274130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618003450) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL 5393) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2025-02-13 |