| NPI | 1528370152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DC OP1000202) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2213) |
| 152W00000X Optometrist (Licence: VA 0618001972) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2021-06-03 |