| NPI | 1881619955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-B14-TA-705) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 4065) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC 4065) | |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: AL S-B14-TA-705) | |
| 152WP0200X Optometrist, Pediatrics (Licence: FL OPC 4065) | |
| 152WP0200X Optometrist, Pediatrics (Licence: AL S-B14-TA-705) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-08-31 |