| NPI | 1811706864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 11287T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA OPT8411) |
| 152W00000X Optometrist (Licence: MD TA3169) | |
| 152W00000X Optometrist (Licence: KY 2487DT) | |
| 152W00000X Optometrist (Licence: NY 011386) | |
| 152W00000X Optometrist (Licence: NH 1531) | |
| Enumeration Date | 2025-01-04 |
| Last Update Date | 2026-08-19 |