| NPI | 1598863987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: OR 3113T) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: NY TUV006783) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-06-02 |