| NPI | 1427383785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: ID ODP-100046) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: MT 662) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2021-09-08 |