| NPI | 1326373408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 8273555-8908) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14269) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 14269) | |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2021-02-19 |