| NPI | 1952954695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 2163) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC5676) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2025-01-14 |