| NPI | 1609346246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60911189) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NH 1514) |
| 152W00000X Optometrist (Licence: FL TPOP312) | |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2025-10-17 |