| NPI | 1831835289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618003225) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC6233) |
| 152W00000X Optometrist (Licence: MA 5541) | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2025-03-12 |