| NPI | 1275751216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1327-461T) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 6018T) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2019-04-12 |