| NPI | 1033132915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DE I30001191) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DE RXOPT1002) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2010-02-02 |