| NPI | 1952921785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002877) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DC OP2000508) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2023-07-31 |