| NPI | 1871542159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: NC 1671) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 1671) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2021-04-20 |