| NPI | 1922802073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: CO OPT.0004118) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO OPT.0004118) |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-07-18 |