| NPI | 1487404075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: MI 4901005765) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901005765) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2025-10-06 |