| NPI | 1629304191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2687) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 8539T) |
| 152W00000X Optometrist (Licence: IA 091381) | |
| 152W00000X Optometrist (Licence: OR 3447ATI) | |
| 152W00000X Optometrist (Licence: WA OD60293969) | |
| 152W00000X Optometrist (Licence: IL 046011389) | |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2022-06-21 |