| NPI | 1710430673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: SC opt1981) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO OPT.0003244) |
| 152W00000X Optometrist (Licence: FL OFC77) | |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2018-03-17 |