| NPI | 1578524088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA1908) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG00148) |
| 152W00000X Optometrist (Licence: CA 12306T) | |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2025-01-21 |