| NPI | 1891041661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: CO 3236) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010843) |
| 152WV0400X Optometrist, Vision Therapy (Licence: NY 007905) | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2019-12-11 |