| NPI | 1538545611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.010917) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL TPOP28) |
| 152W00000X Optometrist (Licence: MI 4901005054) | |
| 152W00000X Optometrist (Licence: NY TUV009326) | |
| 152W00000X Optometrist (Licence: PA OEG004061) | |
| 152W00000X Optometrist (Licence: WI 3944-35) | |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2023-10-02 |