| NPI | 1811746423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DC OP2000573) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618003443) |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-11-04 |