| NPI | 1972817724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2209) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DE I3-0001347) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2012-02-29 |