| NPI | 1134657885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DC OP1000411) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2727) |
| 152WL0500X Optometrist Low Vision Rehabilitation (Licence: DC OP1000411) | |
| 152WL0500X Optometrist Low Vision Rehabilitation (Licence: VA 0618002918) | |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2023-06-20 |