| NPI | 1265638316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA1964) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DC OP1000197) |
| 152W00000X Optometrist (Licence: NY 6981-1) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2018-01-31 |