| NPI | 1750391579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: MD TA2051) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: VA 0618001696) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: PA OEG001814) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-03-21 |