| NPI | 1750937462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG004092) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00697202) |
| 152W00000X Optometrist (Licence: NJ 27OA0069720) | |
| 152W00000X Optometrist (Licence: TX 9836T) | |
| 152W00000X Optometrist (Licence: NY TUV009331) | |
| 152W00000X Optometrist (Licence: NJ 27OA00697201) | |
| Enumeration Date | 2019-08-18 |
| Last Update Date | 2023-12-21 |