| NPI | 1568690402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: LA 1615-648T) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056008135) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2011-09-03 |