| NPI | 1942819289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 1012) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 2771) |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2025-02-05 |