| NPI | 1922112010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1464) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: AZ 1464) |
| 152WV0400X Optometrist, Vision Therapy (Licence: AZ 1464) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2025-03-03 |