NPI | 1881035798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1392) |
Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: NE 1392) |
Enumeration Date | 2013-07-09 |
Last Update Date | 2015-01-19 |