| NPI | 1992828750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MD TA1928) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: VA 0618001526) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY TUV006668) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2012-09-14 |