| NPI | 1952388498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001309) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD ta1868) |
| 152W00000X Optometrist (Licence: NY vut006531) | |
| 152W00000X Optometrist (Licence: PA oeg000576) | |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: VA 0618001309) | |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: VA 0618001309) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2013-02-15 |