| NPI | 1871634972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA1961) |
| Additional Taxonomies | 152WP0200X Optometrist Pediatrics (Licence: MD TA-1961) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-01-15 |