| NPI | 1174267223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV00940-01) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 3252) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2023-08-11 |