| NPI | 1770336497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT x) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO OPT.0004143) |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2025-08-25 |