| NPI | 1639120363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO OPT-1235) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: CO OPT1235) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2013-09-23 |