| NPI | 1902320609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 5389) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MN 3847) |
| 152W00000X Optometrist (Licence: VA 0618003229) | |
| 152W00000X Optometrist (Licence: NY TUV008679) | |
| 152W00000X Optometrist (Licence: NY 008679) | |
| 152W00000X Optometrist (Licence: FL TPOP148) | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2024-01-09 |