| NPI | 1558417709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DC OP1000061) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001067) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2021-08-18 |