| NPI | 1861744294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: MD TA2311) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2311) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2021-06-02 |