| NPI | 1700447026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VT 030.0133959) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AR 2802) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2025-08-11 |