| NPI | 1982669453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: FL OPC1713) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC1713) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2019-02-18 |