| NPI | 1871214544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 3373) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 009668) |
| 152W00000X Optometrist (Licence: FL OPC6197) | |
| 152W00000X Optometrist (Licence: MA OPT5677) | |
| 152W00000X Optometrist (Licence: RI ODTG00744) | |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2024-11-15 |