| NPI | 1205557196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD DA2857) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2023022981) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2025-02-19 |