| NPI | 1962426296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN OD2461) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL TPOP307) |
| 152W00000X Optometrist (Licence: MD TA2713) | |
| 152W00000X Optometrist (Licence: PA OEP008587) | |
| 152W00000X Optometrist (Licence: NY 009042) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2025-10-27 |