| NPI | 1073878658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: PA OEG002624) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002624) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: NY TUV007859) | |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: PA OEG002624) | |
| 152W00000X Optometrist (Licence: NY TUV007859) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: NY TUV007859) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: PA OEG002624) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: NY TUV007859) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2024-03-28 |