| NPI | 1023301280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4853) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14508TLG) |
| 152W00000X Optometrist (Licence: WI 3864-35) | |
| 152W00000X Optometrist (Licence: NE 1598) | |
| 152W00000X Optometrist (Licence: MN 3841) | |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2024-01-09 |