| NPI | 1750636726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60394858) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR AT3523) |
| 152W00000X Optometrist (Licence: NY 007851) | |
| 152W00000X Optometrist (Licence: NJ 27OA00642700) | |
| 152W00000X Optometrist (Licence: OR 3523AT) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2020-12-07 |