| NPI | 1174936876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002862) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 21299-875) |
| 152W00000X Optometrist (Licence: IL 046-010801) | |
| 152W00000X Optometrist (Licence: FL TPOP59) | |
| 152W00000X Optometrist (Licence: WI 3752-35) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2023-03-06 |