| NPI | 1134472996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010627) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 3688-35) |
| 152W00000X Optometrist (Licence: PA OEG0033974) | |
| 152W00000X Optometrist (Licence: IA 105503) | |
| 152W00000X Optometrist (Licence: FL TPOP22) | |
| 152W00000X Optometrist (Licence: VA 0618002850) | |
| 152W00000X Optometrist (Licence: NJ 27OA00704300) | |
| 152W00000X Optometrist (Licence: NY TUV009099) | |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2023-03-06 |