| NPI | 1326337593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DC OP1000237) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2208) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2012-12-06 |