| NPI | 1275207839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 1041) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618003291) |
| 152W00000X Optometrist (Licence: MD TA3038) | |
| 152W00000X Optometrist (Licence: PA OET009166) | |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2024-09-25 |