| NPI | 1720838360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 2487) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 2808) |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2025-07-15 |