| NPI | 1902310006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046011272) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 2005-951AT) |
| 152W00000X Optometrist (Licence: ID ODP-100568) | |
| 152W00000X Optometrist (Licence: UT 12692184-9934) | |
| 152W00000X Optometrist (Licence: MN 3542) | |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2025-04-21 |