| NPI | 1609846625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003079) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ OA00005411) |
| 152WC0802X Optometrist Corneal and Contact Management (Licence: NJ OA00005411) | |
| 152WP0200X Optometrist Pediatrics (Licence: NJ OA00005411) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2018-07-16 |