| NPI | 1134120850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1846) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 2974T) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: AZ 1846) | |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2022-10-25 |