| NPI | 1487278479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 003220) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 3638-05) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2022-12-28 |