| NPI | 1952774176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 009748) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL TPOP120) |
| 152W00000X Optometrist (Licence: GA OPT003390) | |
| 152W00000X Optometrist (Licence: CT 3259) | |
| 152W00000X Optometrist (Licence: MA OPT5130) | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2024-04-17 |