| NPI | 1376587022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001501) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: VA 0618001501) |
| 152WV0400X Optometrist, Vision Therapy (Licence: VA 0618001501) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-03-07 |