| NPI | 1740815505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL R-324-TA-C66) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 34505TLG) |
| 152W00000X Optometrist (Licence: CO 3529) | |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2025-09-17 |