| NPI | 1477285922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 2402) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 11059) |
| 152W00000X Optometrist (Licence: PA OEG004086) | |
| 152W00000X Optometrist (Licence: VA 0618003521) | |
| 152W00000X Optometrist (Licence: CO OPT.0003970) | |
| 152W00000X Optometrist (Licence: NY 009541) | |
| 152W00000X Optometrist (Licence: FL TPOP161) | |
| 152W00000X Optometrist (Licence: MD TA2939) | |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2025-10-03 |