| NPI | 1285048629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002342) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2425) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2024-04-19 |