| NPI | 1598222457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002870) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 2550) |
| 152W00000X Optometrist (Licence: SC 2075) | |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2023-11-03 |