| NPI | 1093931271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 817) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WY 304T) |
| 152W00000X Optometrist (Licence: MA 4229Tp) | |
| 152W00000X Optometrist (Licence: TX 5106T) | |
| 152W00000X Optometrist (Licence: SD 561) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-09-21 |