| NPI | 1003425018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 3.003207) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV009178) |
| Enumeration Date | 2020-07-26 |
| Last Update Date | 2024-08-19 |