| NPI | 1932932076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2853) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2497) |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2025-04-09 |