| NPI | 1356852818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618003195) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2608) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2024-05-01 |