NPI | 1194342535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY 009159) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY 009159) |
152WP0200X Optometrist, Pediatrics (Licence: NY 009159) | |
Enumeration Date | 2020-07-01 |
Last Update Date | 2024-04-23 |