| NPI | 1841676095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002643) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1985DT) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2024-06-18 |