| NPI | 1821670183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2855) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR AT4560) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2022-12-15 |