| NPI | 1841038676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 3259) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: OK 3259) |
| 152WV0400X Optometrist, Vision Therapy (Licence: OK 3259) | |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-08-19 |