| NPI | 1184932444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2280) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14064) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2024-01-06 |