| NPI | 1831751577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 2519) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC5836) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2025-01-21 |