| NPI | 1861842940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DC OP1000356) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2552) |
| 152W00000X Optometrist (Licence: VA 0618002506) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2024-02-23 |