| NPI | 1053763557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: CT 3020) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: MD Ta 2524) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2020-10-15 |