| NPI | 1568700714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2507) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: NC 2507) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2024-06-13 |