| NPI | 1053372607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV0064631) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 003383) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2025-09-10 |