| NPI | 1942438924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.011603) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 2873) |
| 152W00000X Optometrist (Licence: MI 4901004591) | |
| 152W00000X Optometrist (Licence: TX 9161) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2022-10-30 |