| NPI | 1902028558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: KS 1598) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: MO 2001017130) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2026-05-26 |