| NPI | 1881002376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ OPT-002335) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2411) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2019-06-19 |