| NPI | 1770906448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PR 715) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: PR 828) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2024-03-24 |