| NPI | 1942050240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2890) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 3279) |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2025-10-03 |