| NPI | 1184816365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2059) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DC OP1000152) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2025-02-03 |