| NPI | 1427632801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO OPT.0003676) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL TPOP317) |
| 152W00000X Optometrist (Licence: MD 3141) | |
| 152W00000X Optometrist (Licence: SC 2563) | |
| 152W00000X Optometrist (Licence: PA OEP008591) | |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2026-04-07 |