| NPI | 1831888445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 3226) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AR 2877) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2024-06-05 |