| NPI | 1932772944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618003319) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NE 1601) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2025-08-05 |