| NPI | 1073286340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 3234) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV009403) |
| Enumeration Date | 2021-07-31 |
| Last Update Date | 2021-10-29 |