| NPI | 1538444799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1681) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3887) |
| 152W00000X Optometrist (Licence: GA OPT002799) | |
| 152W00000X Optometrist (Licence: CO OPT.0003859) | |
| 152W00000X Optometrist (Licence: LA 1987-933AT) | |
| 152W00000X Optometrist (Licence: AZ OPT002662) | |
| 152W00000X Optometrist (Licence: WY 424T) | |
| 152W00000X Optometrist (Licence: FL OPC6436) | |
| 152W00000X Optometrist (Licence: NM OPT-2025-0023) | |
| 152W00000X Optometrist (Licence: ID ODP-100456) | |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2025-12-16 |