| NPI | 1578672549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DE I3-0001390) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002708) |
| 152W00000X Optometrist (Licence: MD TA1921) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-06-18 |