| NPI | 1760830012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: MN 3472) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MN 3472) |
| 156F00000X Technician/Technologist | |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2018-08-20 |