| NPI | 1972242774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC OPT.2341) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2341) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2025-01-13 |