| NPI | 1447833090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA3106) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 5463) |
| Enumeration Date | 2021-05-02 |
| Last Update Date | 2026-04-02 |