NPI | 1285129775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: SC 2073) |
Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: SC 2073) |
152WS0006X Optometrist, Sports Vision (Licence: SC 2073) | |
152WV0400X Optometrist, Vision Therapy (Licence: SC 2073) | |
Enumeration Date | 2018-06-27 |
Last Update Date | 2022-01-24 |