| NPI | 1649478819 |
|---|---|
| Former Name | MARKITTA S. JEMERSON-DIXON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7281T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 2048) |
| 152W00000X Optometrist (Licence: AK 348) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2024-12-31 |