| NPI | 1265575989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: RI CODTG00734) |
| Additional Taxonomies | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: RI CODTG00734) |
| 152WP0200X Optometrist Pediatrics (Licence: RI CODTG00734) | |
| 152WX0102X Optometrist Occupational Vision (Licence: RI CODTG00734) | |
| 152W00000X Optometrist (Licence: CT CT2257) | |
| 152W00000X Optometrist (Licence: RI CODTG00734) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2023-08-11 |