| NPI | 1841038601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA3024) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2025000514) |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2025-08-19 |