| NPI | 1013535798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV009334-01) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003683) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2021-12-15 |