| NPI | 1801549357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DC OP2000518) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2841) |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-06-16 |