| NPI | 1558327817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL R-222-TA-976) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL T-215-TA-976) |
| 152WC0802X Optometrist Corneal and Contact Management (Licence: OH 4722/T1517) | |
| 152WC0802X Optometrist Corneal and Contact Management (Licence: TX 7914TG) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2014-07-24 |