| NPI | 1952557555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002027) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL TPOP14) |
| 152W00000X Optometrist (Licence: CO OPT0003621) | |
| 152W00000X Optometrist (Licence: WI 3734-35) | |
| 152W00000X Optometrist (Licence: MD TA2961) | |
| 152W00000X Optometrist (Licence: NY 009947) | |
| 152W00000X Optometrist (Licence: IA 125904) | |
| 152W00000X Optometrist (Licence: MI 4901005778) | |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2024-07-15 |