| NPI | 1306950027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001508) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DC OP1000139) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2022-10-10 |