NPI | 1306075882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CT 002779) |
Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: CT 002779) |
Enumeration Date | 2009-07-06 |
Last Update Date | 2013-10-28 |