| NPI | 1104013200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001685) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: DC OP1000177) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: VA 0618001685) | |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2025-01-21 |