| NPI | 1518651124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD61559662) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004427A) |
| 152W00000X Optometrist (Licence: KY 2329DT) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2024-06-05 |