| NPI | 1730256165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: RI ODTA00363) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: MA 2773) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |