| NPI | 1992462725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 009499) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2920) |
| 152W00000X Optometrist (Licence: MA 5539) | |
| 152W00000X Optometrist (Licence: AZ OPT-002579) | |
| 152W00000X Optometrist (Licence: ID ODP-100623) | |
| 152W00000X Optometrist (Licence: DE I5-0000005) | |
| 152W00000X Optometrist (Licence: NH 1058) | |
| 152W00000X Optometrist (Licence: FL TPOP102) | |
| 152W00000X Optometrist (Licence: CO OPT.0003933) | |
| 152W00000X Optometrist (Licence: UT 13429536-9934) | |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2023-07-24 |