| NPI | 1831671213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: VA 0618002934) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002934) |
| 152W00000X Optometrist (Licence: CA 34066TLG) | |
| 152W00000X Optometrist (Licence: NY TUV008895-1) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: VA 0618002934) | |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2020-10-02 |