| NPI | 1922836550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 3260) |
| Additional Taxonomies | 152WP0200X Optometrist Pediatrics (Licence: OK 3260) |
| 152WC0802X Optometrist Corneal and Contact Management (Licence: OK 3260) | |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-24 |