| NPI | 1619861101 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL 6678)  | 
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL 6678)  | 
| 152WP0200X Optometrist, Pediatrics (Licence: FL 6678)  | |
| Enumeration Date | 2025-06-07 | 
| Last Update Date | 2025-06-07 |