| NPI | 1063571743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: WV 1021-OD) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA1819) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2012-08-21 |