| NPI | 1942384102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA1573) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0601009798) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-06-09 |