| NPI | 1053045377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618003152) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00713200) |
| 152W00000X Optometrist (Licence: NY 009538) | |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-07-12 |