NPI | 1548416423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2581) |
Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: OK 2581) |
152WP0200X Optometrist, Pediatrics (Licence: OK 2581) | |
152WS0006X Optometrist, Sports Vision (Licence: OK 2581) | |
152WV0400X Optometrist, Vision Therapy (Licence: OK 2581) | |
152WX0102X Optometrist, Occupational Vision (Licence: OK 2581) | |
Enumeration Date | 2008-08-12 |
Last Update Date | 2023-01-17 |