| NPI | 1205915451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OH 4893) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DE I5-0000003) |
| 152W00000X Optometrist (Licence: PA OEG00026) | |
| 152W00000X Optometrist (Licence: IN 18004462A) | |
| 152W00000X Optometrist (Licence: WI 3716-35) | |
| 152W00000X Optometrist (Licence: IN TH0006321) | |
| 152W00000X Optometrist (Licence: NE 1563) | |
| 152W00000X Optometrist (Licence: MD DA1512) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2024-04-03 |