| NPI | 1982056750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 2452) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 2211) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2024-06-07 |