| NPI | 1619585130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3618) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC6637) |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2025-07-03 |