| NPI | 1235145764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CT 002697) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL TPOP54) |
| 152W00000X Optometrist (Licence: MD TA2799) | |
| 152W00000X Optometrist (Licence: NJ 27OA00624600) | |
| 152W00000X Optometrist (Licence: WI 21338-875) | |
| 152W00000X Optometrist (Licence: VA 0618003056) | |
| 152W00000X Optometrist (Licence: PA OEG003769) | |
| 152W00000X Optometrist (Licence: WI 3876-35) | |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY TUV007056) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-03-06 |