| NPI | 1932130945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA1954) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DC OP1000106) |
| 152W00000X Optometrist (Licence: VA 0618001486) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-10-25 |