NPI | 1326278813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: NY TUV007415-1) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007415-1) |
152WP0200X Optometrist, Pediatrics (Licence: NY TUV007415-1) | |
Enumeration Date | 2009-07-20 |
Last Update Date | 2009-07-20 |