| NPI | 1821574419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.011349) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA3176) |
| 152W00000X Optometrist (Licence: NY 008847) | |
| 152W00000X Optometrist (Licence: MO 2022034959) | |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2026-09-14 |