| NPI | 1447446182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 10411240-9934) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618000803) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2026-05-21 |