| NPI | 1134533953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14956) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 009530) |
| 152W00000X Optometrist (Licence: AZ OPT-002618) | |
| 152W00000X Optometrist (Licence: CO OPT.0003895) | |
| 152W00000X Optometrist (Licence: MD NA2937) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2023-07-27 |