| NPI | 1821984741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 2245) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NE 1676) |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-07-16 |