| NPI | 1497602106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618003622) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT003723) |
| Enumeration Date | 2026-03-12 |
| Last Update Date | 2026-05-29 |