| NPI | 1134796345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DE I3-0011448) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2803) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2024-08-26 |