| NPI | 1669906434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DE I3-0001418) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003760) |
| 152W00000X Optometrist (Licence: FL OPC5543) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2023-05-08 |