NPI | 1205863495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA0942) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MD TA0942) |
152WP0200X Optometrist, Pediatrics (Licence: MD TA0942) | |
152WV0400X Optometrist, Vision Therapy (Licence: MD TA0942) | |
152WS0006X Optometrist, Sports Vision (Licence: MD TA0942) | |
Enumeration Date | 2006-06-26 |
Last Update Date | 2014-01-30 |