| NPI | 1114282183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO OPT.0003276) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618003619) |
| 152W00000X Optometrist (Licence: CT 3463) | |
| 152W00000X Optometrist (Licence: OH OPT.007344) | |
| 152W00000X Optometrist (Licence: NY 009732) | |
| 152W00000X Optometrist (Licence: LA 2014-960AT) | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2026-06-18 |