| NPI | 1093156820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007990) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007990) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2025-04-02 |