| NPI | 1942674197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DC op1000339) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD ta2561) |
| 152W00000X Optometrist (Licence: VA 0618002458) | |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2022-07-21 |