NPI | 1417206913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2294) |
Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: NC 2294) |
Enumeration Date | 2012-08-30 |
Last Update Date | 2015-05-07 |