| NPI | 1710410717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: TN 3351) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN TN3351) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2023-10-03 |