| NPI | 1073869319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1915) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2737) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: AZ 1915) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2019-02-05 |