| NPI | 1932194891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2447) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 042-008464) |
| 152W00000X Optometrist (Licence: VA 0618002370) | |
| 152W00000X Optometrist (Licence: DC OP1000310) | |
| 152W00000X Optometrist (Licence: IL 346002140) | |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2025-11-03 |