| NPI | 1528673027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2973) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 34797TLG) |
| 152W00000X Optometrist (Licence: AZ OPT-002454) | |
| 152W00000X Optometrist (Licence: FL OPC5845) | |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2024-02-13 |