| NPI | 1548324486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1461) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: AZ 1461) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2023-05-23 |