| NPI | 1306871363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 0002933) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY TUV006893) |
| 152W00000X Optometrist (Licence: MD TA2089) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-08-29 |