| NPI | 1588282156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.011459) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DC OP2000557) |
| 152W00000X Optometrist (Licence: FL TPOP114) | |
| 152W00000X Optometrist (Licence: IA 119109) | |
| 152W00000X Optometrist (Licence: MN 3867) | |
| 152W00000X Optometrist (Licence: VA 0618003157) | |
| 152W00000X Optometrist (Licence: WI 3900-35) | |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2024-01-09 |