| NPI | 1497377089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR ATI4586) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD61194017) |
| 152W00000X Optometrist (Licence: NY 009248) | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2021-11-09 |