| NPI | 1669781670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD DA 2221) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002015) |
| 152W00000X Optometrist (Licence: DC OP1000216) | |
| Enumeration Date | 2010-09-26 |
| Last Update Date | 2022-12-23 |