| NPI | 1730467549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 113033) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003923A) |
| 152W00000X Optometrist (Licence: IL 046.010437) | |
| 152W00000X Optometrist (Licence: MA 5199) | |
| 152WC0802X Optometrist Corneal and Contact Management (Licence: IA 113033) | |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2022-07-12 |