| NPI | 1346216991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: VA 0618002110) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002110) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2024-10-16 |