| NPI | 1417946146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NM 2400) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NM 2400) |
| Enumeration Date | 2005-10-15 |
| Last Update Date | 2023-08-09 |