| NPI | 1215421482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA3033) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 3075) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2024-09-17 |