| NPI | 1285856542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL s-881-ta-462) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: AL S-881-TA-462) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2016-02-05 |