| NPI | 1396940920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: IL 046010926) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: MI 4901004454) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2016-02-03 |