| NPI | 1952605743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DE I3-0001350) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DE I4-0000054) |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-06-23 |