| 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 |