| NPI | 1043102262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 011244) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY 011244) |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-21 |