| NPI | 1497194112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: MN 3329) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MN 3329) |
| Enumeration Date | 2013-06-15 |
| Last Update Date | 2023-08-04 |