| NPI | 1043282106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: WI 3035-035) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 30350355) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2012-07-24 |