| NPI | 1316520372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL 5974) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: FL 5974) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL 5974) | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2023-10-11 |