| NPI | 1689697021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD DA2274) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV006666) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-01-15 |