| NPI | 1730247909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: PA oeg001416) |
| Additional Taxonomies | 156FX1700X Technician/Technologist, Ocularist |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY too6072-1) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2025-09-09 |