NPI | 1053978122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC5644) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC5644) |
152WP0200X Optometrist, Pediatrics (Licence: FL OPC5644) | |
Enumeration Date | 2019-05-23 |
Last Update Date | 2023-05-04 |