| NPI | 1861493769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA OPT5602) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13400T) |
| 152W00000X Optometrist (Licence: VT 030.0133966) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: NY TUV 006816) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2023-05-30 |