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 |