| NPI | 1992226336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002900) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2685) |
| 152W00000X Optometrist (Licence: NY 008941) | |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2020-10-06 |