| NPI | 1649016858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618003628) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DE I4-0010148) |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2026-05-22 |