| NPI | 1467180257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 3232) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004357A) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2024-01-15 |