NPI | 1528184058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: DE 13-0001275) |
Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: MD TA1762) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2021-05-18 |