| NPI | 1013010289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 1185) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OK 1185) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2022-04-14 |