| NPI | 1447128996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618003561) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DC OP2000605) |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |