| NPI | 1700928645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 1051) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA-1801) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2021-02-01 |