| NPI | 1699704320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 927) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: NE 927) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2018-06-06 |