| NPI | 1427018282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1522) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 2497) |
| 152WP0200X Optometrist, Pediatrics (Licence: CO 2497) | |
| 152WS0006X Optometrist, Sports Vision (Licence: CO 2497) | |
| 152WP0200X Optometrist, Pediatrics (Licence: AZ 1522) | |
| 152WS0006X Optometrist, Sports Vision (Licence: AZ 1522) | |
| 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: AZ 1522) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2014-07-02 |