| NPI | 1225443989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6189) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002939) |
| 152W00000X Optometrist (Licence: VA 0618002456) | |
| 152W00000X Optometrist (Licence: MD TA2481) | |
| 152W00000X Optometrist (Licence: DC OP1000381) | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2023-08-25 |