| NPI | 1275947772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5159) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: IL 046.010782) |
| 152WL0500X Optometrist Low Vision Rehabilitation (Licence: IL 046.010782) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2021-12-30 |