| NPI | 1861435570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001454) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA1779) |
| 152W00000X Optometrist (Licence: DC OP1000091) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-28 |