| NPI | 1508530890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 36120) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH OPT.007096) |
| 152W00000X Optometrist (Licence: PA OEG003831) | |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2025-09-29 |