| NPI | 1487108585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 5152) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL TPOP177) |
| 152W00000X Optometrist (Licence: VA 0618003606) | |
| 152W00000X Optometrist (Licence: ID 2871194) | |
| 152W00000X Optometrist (Licence: CT 3442) | |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2026-04-23 |