| NPI | 1255851721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 008601) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL TPOP158) |
| 152W00000X Optometrist (Licence: PA OEG004081) | |
| 152W00000X Optometrist (Licence: VA 0618003334) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: NY 008601) | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2023-10-27 |