| NPI | 1750721817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: MN 3346) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MN 3346) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2023-08-29 |