| NPI | 1679699680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA 1590) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 2351) |
| 152W00000X Optometrist (Licence: AZ OPT-002653) | |
| 152W00000X Optometrist (Licence: MD DA1386) | |
| 152W00000X Optometrist (Licence: DC OP2000559) | |
| 152W00000X Optometrist (Licence: MA OPT3798) | |
| 152W00000X Optometrist (Licence: FL TPOP193) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2024-06-14 |