| NPI | 1659823938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 4658) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD61395717) |
| 152W00000X Optometrist (Licence: NY 008530) | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2026-03-05 |