| NPI | 1023427432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2420) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT003276) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2024-01-11 |