| NPI | 1982271409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2309DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011536) |
| 152W00000X Optometrist (Licence: TX 10249TG) | |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2023-05-10 |