| NPI | 1922886431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2784) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2444) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-06-24 |