| NPI | 1770913915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2511) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL TPOP211) |
| 152W00000X Optometrist (Licence: VA 0618002290) | |
| 152W00000X Optometrist (Licence: DC OPT1000314) | |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2024-06-26 |