| NPI | 1740258987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DE I3-0011430) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618000370) |
| 152W00000X Optometrist (Licence: DC OP748) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2024-08-01 |