| NPI | 1851934699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5893) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002825) |
| 152W00000X Optometrist (Licence: SC 2464) | |
| 152W00000X Optometrist (Licence: LA 1966-912AT) | |
| 152W00000X Optometrist (Licence: GA OPT003556) | |
| 152W00000X Optometrist (Licence: MD TA2998) | |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2026-05-06 |