| NPI | 1851529846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DC OP1000207) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2224) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2023-04-04 |