| NPI | 1679504948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA1235) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD TA1235) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-11-02 |