| NPI | 1023430477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618003351) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14818) |
| 152W00000X Optometrist (Licence: DC op1000274) | |
| Enumeration Date | 2014-01-18 |
| Last Update Date | 2024-03-07 |