| NPI | 1477226603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC OPT.2288) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2288) |
| Enumeration Date | 2021-07-24 |
| Last Update Date | 2021-10-29 |