| NPI | 1689160350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL opc5739) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 3519-35) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2026-04-17 |