| NPI | 1316015902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: TX 07149T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 7149T) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-02-02 |