| NPI | 1033841663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2844) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DC OP2000525) |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2023-07-20 |