| NPI | 1154843423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 10397687-9934) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 011104) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: UT 10397687-9934) | |
| Enumeration Date | 2017-07-08 |
| Last Update Date | 2025-10-24 |