| NPI | 1881046290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046011035) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 3726-35) |
| 152W00000X Optometrist (Licence: FL TPOP92) | |
| 152W00000X Optometrist (Licence: MN 3764) | |
| 152W00000X Optometrist (Licence: PA OEG003880) | |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2023-03-06 |