| NPI | 1083182950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003492) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 20398-875) |
| 152W00000X Optometrist (Licence: WI 3838-35) | |
| 152W00000X Optometrist (Licence: FL TPOP52) | |
| 152W00000X Optometrist (Licence: MD TA2790) | |
| 152W00000X Optometrist (Licence: MI 4901005189) | |
| 152W00000X Optometrist (Licence: NJ 27OA0069460) | |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2023-03-06 |