| NPI | 1952670044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DC OP2000565) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618003341) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2024-04-03 |