| NPI | 1235395575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002474) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: MD TA2112) |
| 152W00000X Optometrist (Licence: MD TA2112) | |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2023-12-01 |