| NPI | 1538494414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3530) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MT 810) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2026-04-08 |