| NPI | 1548373681 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 152W00000X Optometrist (Licence: PR 307)  | 
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: PR 307)  | 
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: PR 307)  | |
| 152WP0200X Optometrist, Pediatrics (Licence: PR 307)  | |
| 152WS0006X Optometrist, Sports Vision (Licence: PR 307)  | |
| 152WV0400X Optometrist, Vision Therapy (Licence: PR 307)  | |
| 152WX0102X Optometrist, Occupational Vision (Licence: PR 307)  | |
| 156FC0800X Technician/Technologist, Contact Lens (Licence: PR 307)  | |
| 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: PR 307)  | |
| 156FX1100X Technician/Technologist, Ophthalmic (Licence: PR 307)  | |
| 156FX1202X Technician/Technologist, Optometric Technician (Licence: PR 307)  | |
| 156FX1800X Technician/Technologist, Optician (Licence: PR 307)  | |
| 156FX1900X Technician/Technologist, Orthoptist (Licence: PR 307)  | |
| Enumeration Date | 2006-08-15 | 
| Last Update Date | 2024-04-22 |