| NPI | 1417265372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 2649) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MA 3975) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: CT 002649) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2022-09-23 |