| NPI | 1396306643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DE I3-0011469) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD 2677) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2025-04-17 |