| NPI | 1821512971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WV 2093-IOD) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: HI 862) |
| 152W00000X Optometrist (Licence: MD TA2663) | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2023-06-08 |