| NPI | 1780035584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ OPT-002404) |
| Additional Taxonomies | 152WP0200X Optometrist Pediatrics (Licence: CA 33822) |
| 152WV0400X Optometrist Vision Therapy (Licence: NY TUV008428-1) | |
| 152WV0400X Optometrist Vision Therapy (Licence: CA 33822) | |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2024-03-21 |