| NPI | 1760232466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL 7022) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: UT 14290414-9934) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2026-07-17 |