| NPI | 1831544295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 60649717) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL TPOP72) |
| 152W00000X Optometrist (Licence: MD 2882) | |
| 152W00000X Optometrist (Licence: NY 009558) | |
| 152W00000X Optometrist (Licence: AK 199973) | |
| 152W00000X Optometrist (Licence: WI 3830-35) | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2023-03-06 |