NPI | 1649392754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: MD TA2029) |
Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA 12343T) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2007-07-08 |