| NPI | 1427668912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: MO 2020018239) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: KS 2156) |
| Enumeration Date | 2020-08-09 |
| Last Update Date | 2025-12-23 |