| NPI | 1811371412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA 15310) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002493) |
| 152W00000X Optometrist (Licence: MD TA2852) | |
| 152W00000X Optometrist (Licence: DC OP1000353) | |
| 152W00000X Optometrist (Licence: OR 4801) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2026-02-13 |