| NPI | 1033602230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY PENDING) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 5455) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CT 3151) | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2022-10-20 |