| NPI | 1407314800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2575) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 3543-35) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2024-10-08 |