| NPI | 1881180644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2768) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003409) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2020-11-20 |