| NPI | 1982197687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5535) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG004076) |
| 152W00000X Optometrist (Licence: IN 18004478A) | |
| 152W00000X Optometrist (Licence: VA 0618003299) | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2024-07-11 |