| NPI | 1952303042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000206) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD DA1065) |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2010-12-03 |