| NPI | 1346760790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: AZ 2280) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 002280) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2023-08-09 |