| NPI | 1902288202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV008276) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 60785090) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2026-06-30 |