| NPI | 1760885800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002642) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DC OP10000379) |
| 152W00000X Optometrist (Licence: PA OEG002982) | |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2020-11-19 |