| NPI | 1346226008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000007) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: VA 601001676) |
| 152WL0500X Optometrist Low Vision Rehabilitation (Licence: VA 601001676) | |
| 152WP0200X Optometrist Pediatrics (Licence: VA 601001676) | |
| 152WX0102X Optometrist Occupational Vision (Licence: VA 601001676) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2018-12-16 |