| NPI | 1770923427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DC Op1000377) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002254) |
| 152W00000X Optometrist (Licence: MD TA2356) | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2020-10-22 |