| NPI | 1891553244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: VA 0618003509) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3885) |
| 207W00000X Ophthalmology (Licence: TN 3885) | |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2025-07-08 |