| NPI | 1831597715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: WA OD61114641) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 3582AT) |
| 152W00000X Optometrist (Licence: CA opt 15423 TLG) | |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2026-01-13 |