| NPI | 1881843589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2286) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001768) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2023-12-28 |