| NPI | 1821671447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3733) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901005646) |
| Enumeration Date | 2021-05-02 |
| Last Update Date | 2026-02-25 |