| NPI | 1023271418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: NY 007353) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY VUT 007353) |
| 152WV0400X Optometrist Vision Therapy (Licence: NY 007353) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2018-03-17 |