| NPI | 1467137133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2331DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00732800) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2024-11-15 |