| NPI | 1093078065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002154) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: VA 0618002154) |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2022-07-21 |