| NPI | 1356364681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO T03071) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 3088) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: OK 3088) | |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: MO T03071) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2025-03-13 |