| NPI | 1972096345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2577) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2066) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2023-09-13 |