| NPI | 1780177675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 3506-35) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: WI 3506-35) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: WI 3506-35) | |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2021-11-19 |