| NPI | 1790165793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: CA OPT15448-TLG) |
| Additional Taxonomies | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: PA OEG003111) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2016-07-28 |