| NPI | 1184856700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007757) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002205) |
| Enumeration Date | 2009-08-15 |
| Last Update Date | 2012-12-05 |