| NPI | 1962886887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: CA 33596) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: NY 56 008342) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2022-03-10 |