| NPI | 1811283799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 002515) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: IA 002515) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2022-03-28 |