| NPI | 1639499726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 60477294) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007571) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2026-03-02 |