| NPI | 1770732067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4736) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NE 1324) |
| 152W00000X Optometrist (Licence: FL OPC 4341) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2025-09-08 |