| NPI | 1477589042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1453) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: VA 0618000286) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2025-01-22 |