| NPI | 1588819361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 002340) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: RI 556) |
| 152W00000X Optometrist (Licence: MA 4844) | |
| 152W00000X Optometrist (Licence: NC 2111) | |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2024-06-04 |