| NPI | 1487340212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618003248) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NM OPT-2025-0015) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2025-07-18 |