| NPI | 1932516937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DC OP1000299) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 618002355) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2021-12-10 |