| NPI | 1386168730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 956) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: MS 956) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2020-10-28 |