| NPI | 1053726315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO OPT.0003054) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003588) |
| 152W00000X Optometrist (Licence: VT 030.0133914) | |
| 152W00000X Optometrist (Licence: VA 0618002843) | |
| 152W00000X Optometrist (Licence: MO 2020002198) | |
| 152W00000X Optometrist (Licence: MD TA2704) | |
| 152W00000X Optometrist (Licence: FL TPOP38) | |
| 152W00000X Optometrist (Licence: WI 3643-35) | |
| 152W00000X Optometrist (Licence: IA 097350) | |
| 152W00000X Optometrist (Licence: IL 046011384) | |
| 152W00000X Optometrist (Licence: NY TUV009025) | |
| 152W00000X Optometrist (Licence: MN 3673) | |
| 152W00000X Optometrist (Licence: NE 1572) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2024-01-05 |