| NPI | 1619917374 |
|---|---|
| Former Name | ROSEMARY ANNE GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: FL 4027) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2013-09-17 |