| NPI | 1093780827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV 006768-1) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 3876) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2018-10-02 |