| NPI | 1831190255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000104) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: VA 0618000104) |
| 152WX0102X Optometrist, Occupational Vision (Licence: VA 0618000104) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2016-03-17 |