| NPI | 1215931886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: MO T03116) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO MOT03116) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2026-02-06 |