NPI | 1427212497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007274) |
Additional Taxonomies | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: CA OPT 13689 TPA) |
152WL0500X Optometrist Low Vision Rehabilitation (Licence: AZ 1645) | |
Enumeration Date | 2008-07-17 |
Last Update Date | 2009-09-22 |