| NPI | 1083638944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA T11392) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 006279) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY 006279) | |
| 152W00000X Optometrist (Licence: CA opt11392) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |