| NPI | 1699344960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618003144) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2809) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2023-09-15 |