| NPI | 1922077189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1575) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001146) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: VA 1575) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2024-02-12 |