| NPI | 1881783868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD DA2136) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DC OP100188) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2009-09-30 |