| NPI | 1639210701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: NY T005337) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: NJ T005337) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |