| NPI | 1821297896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 999) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 3742) |
| 152W00000X Optometrist (Licence: CA 14676) | |
| 152W00000X Optometrist (Licence: ID 100575) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: TN 2792) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2023-10-10 |