| NPI | 1821580796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DC OP1000398) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 618002963) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2021-12-22 |