| NPI | 1083277396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34333TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DE I5-0000001) |
| 152W00000X Optometrist (Licence: NC 2858) | |
| 152W00000X Optometrist (Licence: PA OEG004217) | |
| 152W00000X Optometrist (Licence: DC OP2000550) | |
| 152W00000X Optometrist (Licence: TN 3932) | |
| 152W00000X Optometrist (Licence: OH OPT.007207) | |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2026-04-15 |