| NPI | 1932558350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002555) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2147) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2023-08-10 |