| NPI | 1437501871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1982-928AT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008672-1) |
| 152W00000X Optometrist (Licence: MD TA 2542) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2023-12-05 |