| NPI | 1952634164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: NY TUV007390-1) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: TN OD0000002828) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2011-02-15 |