| NPI | 1568461242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: TX 5239TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 5239TG) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2020-10-28 |