| NPI | 1558180067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL 6622) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2510) |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2025-10-21 |